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Journal of Health Psychology
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Development and Validation of the Physician—Patient Humor Rating Scale

Kelly B. Haskard Zolnierek

Texas State University, San Marcos, USA, kh36{at}txstate.edu

M. Robin Dimatteo

University of California, Riverside, USA

Melissa M. Mondala

University of California, Riverside, USA

Zhou Zhang

University of California, Riverside, USA

Leslie R. Martin

La Sierra University, USA

Andrew H. Messiha

Pennsylvania State University College of Medicine, USA

The purpose of this study was the development of a rating instrument to assess the use of humor in physician— patient interactions, and to compare humor use as a function of patients’ socioeconomic status. The 46-item Physician—Patient Humor Rating Scale (PPHRS) was used to rate 246 audiotaped primary care interactions. Four subscales were reliable and valid, demonstrating correlations with patient satisfaction and reports of physician humor, with physician satisfaction and with separate affective communication ratings. There was a significant difference in use of humor as a function of patient socioeconomic status, such that there was greater mutual trust between physicians and high versus low income patients.

Key Words: humor • physician—patient communication • rating scale DYADIC-communication in physician

Journal of Health Psychology, Vol. 14, No. 8, 1163-1173 (2009)
DOI: 10.1177/1359105309342288


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